Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study

Tamara J. Somers; James A. Blumenthal; Farshid Guilak; Virginia B. Kraus; Daniel O. Schmitt; Michael A. Babyak; Linda W. Craighead; David S. Caldwell; John R. Rice; Daphne C. McKee; Rebecca A. Shelby; Lisa C. Campbell; Jennifer J. Pells; Ershela L. Sims; Robin Queen; James W. Carson; Mark Connelly; Kim E. Dixon; Lara J. Lacaille; Janet L. Huebner; W. Jack Rejeski; Francis J. Keefe

doi:10.1016/j.pain.2012.02.023

Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study

Tamara J. Somers, James A. Blumenthal, Farshid Guilak, Virginia B. Kraus, Daniel O. Schmitt, Michael A. Babyak, Linda W. Craighead, David S. Caldwell, John R. Rice, Daphne C. McKee, Rebecca A. Shelby, Lisa C. Campbell, Jennifer J. Pells, Ershela L. Sims, Robin Queen, James W. Carson, Mark Connelly, Kim E. Dixon, Lara J. Lacaille, Janet L. HuebnerW. Jack Rejeski, Francis J. Keefe

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Abstract

Overweight and obese patients with osteoarthritis (OA) experience more OA pain and disability than patients who are not overweight. This study examined the long-term efficacy of a combined pain coping skills training (PCST) and lifestyle behavioral weight management (BWM) intervention in overweight and obese OA patients. Patients (n = 232) were randomized to a 6-month program of: 1) PCST + BWM; 2) PCST-only; 3) BWM-only; or 4) standard care control. Assessments of pain, physical disability (Arthritis Impact Measurement Scales [AIMS] physical disability, stiffness, activity, and gait), psychological disability (AIMS psychological disability, pain catastrophizing, arthritis self-efficacy, weight self-efficacy), and body weight were collected at 4 time points (pretreatment, posttreatment, and 6 months and 12 months after the completion of treatment). Patients randomized to PCST + BWM demonstrated significantly better treatment outcomes (average of all 3 posttreatment values) in terms of pain, physical disability, stiffness, activity, weight self-efficacy, and weight when compared to the other 3 conditions (Ps < 0.05). PCST + BWM also did significantly better than at least one of the other conditions (ie, PCST-only, BWM-only, or standard care) in terms of psychological disability, pain catastrophizing, and arthritis self-efficacy. Interventions teaching overweight and obese OA patients pain coping skills and weight management simultaneously may provide the more comprehensive long-term benefits.

Original language	English
Pages (from-to)	1199-1209
Number of pages	11
Journal	Pain
Volume	153
Issue number	6
DOIs	https://doi.org/10.1016/j.pain.2012.02.023
State	Published - Jun 2012

Keywords

Coping
Obese
Osteoarthritis
Overweight
Pain
Physical disability

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10.1016/j.pain.2012.02.023

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Somers, T. J., Blumenthal, J. A., Guilak, F., Kraus, V. B., Schmitt, D. O., Babyak, M. A., Craighead, L. W., Caldwell, D. S., Rice, J. R., McKee, D. C., Shelby, R. A., Campbell, L. C., Pells, J. J., Sims, E. L., Queen, R., Carson, J. W., Connelly, M., Dixon, K. E., Lacaille, L. J., ... Keefe, F. J. (2012). Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study. Pain, 153(6), 1199-1209. https://doi.org/10.1016/j.pain.2012.02.023

@article{b16de39247304b74b551095b1c8de827,

title = "Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study",

abstract = "Overweight and obese patients with osteoarthritis (OA) experience more OA pain and disability than patients who are not overweight. This study examined the long-term efficacy of a combined pain coping skills training (PCST) and lifestyle behavioral weight management (BWM) intervention in overweight and obese OA patients. Patients (n = 232) were randomized to a 6-month program of: 1) PCST + BWM; 2) PCST-only; 3) BWM-only; or 4) standard care control. Assessments of pain, physical disability (Arthritis Impact Measurement Scales [AIMS] physical disability, stiffness, activity, and gait), psychological disability (AIMS psychological disability, pain catastrophizing, arthritis self-efficacy, weight self-efficacy), and body weight were collected at 4 time points (pretreatment, posttreatment, and 6 months and 12 months after the completion of treatment). Patients randomized to PCST + BWM demonstrated significantly better treatment outcomes (average of all 3 posttreatment values) in terms of pain, physical disability, stiffness, activity, weight self-efficacy, and weight when compared to the other 3 conditions (Ps < 0.05). PCST + BWM also did significantly better than at least one of the other conditions (ie, PCST-only, BWM-only, or standard care) in terms of psychological disability, pain catastrophizing, and arthritis self-efficacy. Interventions teaching overweight and obese OA patients pain coping skills and weight management simultaneously may provide the more comprehensive long-term benefits.",

keywords = "Coping, Obese, Osteoarthritis, Overweight, Pain, Physical disability",

author = "Somers, {Tamara J.} and Blumenthal, {James A.} and Farshid Guilak and Kraus, {Virginia B.} and Schmitt, {Daniel O.} and Babyak, {Michael A.} and Craighead, {Linda W.} and Caldwell, {David S.} and Rice, {John R.} and McKee, {Daphne C.} and Shelby, {Rebecca A.} and Campbell, {Lisa C.} and Pells, {Jennifer J.} and Sims, {Ershela L.} and Robin Queen and Carson, {James W.} and Mark Connelly and Dixon, {Kim E.} and Lacaille, {Lara J.} and Huebner, {Janet L.} and Rejeski, {W. Jack} and Keefe, {Francis J.}",

note = "Funding Information: This study is known as OA Life. This publication was made possible by Frant number P01 AR50245 from the National Institutes of Health . We would like to thank the numerous staff and faculty at Duke University Medical Center who worked on this study, as well as the patients who participated in this study, without both of whom it would not have been possible to conduct.",

year = "2012",

month = jun,

doi = "10.1016/j.pain.2012.02.023",

language = "English",

volume = "153",

pages = "1199--1209",

journal = "Pain",

issn = "0304-3959",

number = "6",

}

Somers, TJ, Blumenthal, JA, Guilak, F, Kraus, VB, Schmitt, DO, Babyak, MA, Craighead, LW, Caldwell, DS, Rice, JR, McKee, DC, Shelby, RA, Campbell, LC, Pells, JJ, Sims, EL, Queen, R, Carson, JW, Connelly, M, Dixon, KE, Lacaille, LJ, Huebner, JL, Rejeski, WJ & Keefe, FJ 2012, 'Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study', Pain, vol. 153, no. 6, pp. 1199-1209. https://doi.org/10.1016/j.pain.2012.02.023

TY - JOUR

T1 - Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis

T2 - A randomized controlled study

AU - Somers, Tamara J.

AU - Blumenthal, James A.

AU - Guilak, Farshid

AU - Kraus, Virginia B.

AU - Schmitt, Daniel O.

AU - Babyak, Michael A.

AU - Craighead, Linda W.

AU - Caldwell, David S.

AU - Rice, John R.

AU - McKee, Daphne C.

AU - Shelby, Rebecca A.

AU - Campbell, Lisa C.

AU - Pells, Jennifer J.

AU - Sims, Ershela L.

AU - Queen, Robin

AU - Carson, James W.

AU - Connelly, Mark

AU - Dixon, Kim E.

AU - Lacaille, Lara J.

AU - Huebner, Janet L.

AU - Rejeski, W. Jack

AU - Keefe, Francis J.

N1 - Funding Information: This study is known as OA Life. This publication was made possible by Frant number P01 AR50245 from the National Institutes of Health . We would like to thank the numerous staff and faculty at Duke University Medical Center who worked on this study, as well as the patients who participated in this study, without both of whom it would not have been possible to conduct.

PY - 2012/6

Y1 - 2012/6

N2 - Overweight and obese patients with osteoarthritis (OA) experience more OA pain and disability than patients who are not overweight. This study examined the long-term efficacy of a combined pain coping skills training (PCST) and lifestyle behavioral weight management (BWM) intervention in overweight and obese OA patients. Patients (n = 232) were randomized to a 6-month program of: 1) PCST + BWM; 2) PCST-only; 3) BWM-only; or 4) standard care control. Assessments of pain, physical disability (Arthritis Impact Measurement Scales [AIMS] physical disability, stiffness, activity, and gait), psychological disability (AIMS psychological disability, pain catastrophizing, arthritis self-efficacy, weight self-efficacy), and body weight were collected at 4 time points (pretreatment, posttreatment, and 6 months and 12 months after the completion of treatment). Patients randomized to PCST + BWM demonstrated significantly better treatment outcomes (average of all 3 posttreatment values) in terms of pain, physical disability, stiffness, activity, weight self-efficacy, and weight when compared to the other 3 conditions (Ps < 0.05). PCST + BWM also did significantly better than at least one of the other conditions (ie, PCST-only, BWM-only, or standard care) in terms of psychological disability, pain catastrophizing, and arthritis self-efficacy. Interventions teaching overweight and obese OA patients pain coping skills and weight management simultaneously may provide the more comprehensive long-term benefits.

AB - Overweight and obese patients with osteoarthritis (OA) experience more OA pain and disability than patients who are not overweight. This study examined the long-term efficacy of a combined pain coping skills training (PCST) and lifestyle behavioral weight management (BWM) intervention in overweight and obese OA patients. Patients (n = 232) were randomized to a 6-month program of: 1) PCST + BWM; 2) PCST-only; 3) BWM-only; or 4) standard care control. Assessments of pain, physical disability (Arthritis Impact Measurement Scales [AIMS] physical disability, stiffness, activity, and gait), psychological disability (AIMS psychological disability, pain catastrophizing, arthritis self-efficacy, weight self-efficacy), and body weight were collected at 4 time points (pretreatment, posttreatment, and 6 months and 12 months after the completion of treatment). Patients randomized to PCST + BWM demonstrated significantly better treatment outcomes (average of all 3 posttreatment values) in terms of pain, physical disability, stiffness, activity, weight self-efficacy, and weight when compared to the other 3 conditions (Ps < 0.05). PCST + BWM also did significantly better than at least one of the other conditions (ie, PCST-only, BWM-only, or standard care) in terms of psychological disability, pain catastrophizing, and arthritis self-efficacy. Interventions teaching overweight and obese OA patients pain coping skills and weight management simultaneously may provide the more comprehensive long-term benefits.

KW - Coping

KW - Obese

KW - Osteoarthritis

KW - Overweight

KW - Pain

KW - Physical disability

UR - http://www.scopus.com/inward/record.url?scp=84861189287&partnerID=8YFLogxK

U2 - 10.1016/j.pain.2012.02.023

DO - 10.1016/j.pain.2012.02.023

M3 - Article

C2 - 22503223

AN - SCOPUS:84861189287

SN - 0304-3959

VL - 153

SP - 1199

EP - 1209

JO - Pain

JF - Pain

IS - 6

ER -

Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study

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Keywords

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